Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy but

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Re: Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy

But the optics are so much better with the robot! And don't forget about the seven degrees of freedom...it's like having tiny little hands inside the patient! Why stand when you can sit comfortably at the console? You don't even have to hold your head up...
 






Re: Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy

but…..."The true test of something new in medicine should be: Is it better? Is it safer? Does it save money? If not, then we probably shouldn't be using it," says Nita Ahuja, M.D., an associate professor of surgery and oncology at the Johns Hopkins University School of Medicine and leader of the study published online on Dec. 18 in JAMA Surgery. "What we have found is that the robot is no better than laparoscopy and it costs more. It has no benefit."
 






Re: Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy

Of course there is no patient benefit for most all cases....but it has a chair, scope holder, and it's fun.
 






Re: Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy

Anonymous said:
but…..."The true test of something new in medicine should be: Is it better? Is it safer? Does it save money? If not, then we probably shouldn't be using it," says Nita Ahuja, M.D., an associate professor of surgery and oncology at the Johns Hopkins University School of Medicine and leader of the study published online on Dec. 18 in JAMA Surgery. "What we have found is that the robot is no better than laparoscopy and it costs more. It has no benefit."
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I think the statement is valid, however, the national numbers suggest that most of the CR cases are not done minimally invasive. So, with da Vinci, if you increase the number of MIS's performed to up around 70% over the next 3-4 year it seems that would be a substantial clinical and economic benefit to the patient and the facilities.
 






Re: Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy

This is perhaps the greatest bait and switch in the history of healthcare. Hospitals buy a daVinci based on the clinical benefit vs. open surgery, only to waste millions of dollars on robotic oophrectomies, choles and (my personal favorite) lysis of adhesions. There is no question that robotics offers a clear clinical benefit on procedures where conventional MIS is not an option. There is also no question that daVinci is used on many procedures that a surgeon with basic skills could have performed laparoscopically. Eventually, there will be a correction in this market. Either robotics will become economically comparable, or hospitals and insurers are going to start saying "no".
 






Re: Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy

How many of you would let your closes relative be experiemented on with this(single site). Vaginal Hyst? take two trocars and excise the ligaments/artery and pull the uterus out. Should take about 40 minutes with an edo stapler and a bipolar forceps. Patient goes home next day, PERIOD.

Sure, its proven for radical prostatectomy but from ACOG to the latest in JAMA? This is arguably the biggest device oversell in medical device history.

The sales of ambien to help you all sleep at night must be at record levels
 






Re: Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy

Anonymous said:
How many of you would let your closes relative be experiemented on with this(single site). Vaginal Hyst? take two trocars and excise the ligaments/artery and pull the uterus out. Should take about 40 minutes with an edo stapler and a bipolar forceps. Patient goes home next day, PERIOD.

Sure, its proven for radical prostatectomy but from ACOG to the latest in JAMA? This is arguably the biggest device oversell in medical device history.

The sales of ambien to help you all sleep at night must be at record levels
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Who are you? You don't even make sense. You're confusing vaginal for lap. A vaginal hyst doesn't use trocars. Are you aware that a vag hyst is done blindly? Are you aware that the majority of vag hysts leave the ovaries, b/c the surgeon isn't comfortable/able to get that high?
 






Re: Johns Hopkins study finds robotic colon surgery just as effective as laparoscopy

Anonymous said:
How many of you would let your closes relative be experiemented on with this(single site). Vaginal Hyst? take two trocars and excise the ligaments/artery and pull the uterus out. Should take about 40 minutes with an edo stapler and a bipolar forceps. Patient goes home next day, PERIOD.

Sure, its proven for radical prostatectomy but from ACOG to the latest in JAMA? This is arguably the biggest device oversell in medical device history.

The sales of ambien to help you all sleep at night must be at record levels
Click to expand...

This statement just goes to show how uninformed people quickly make uninformed opinions and share them blindly to other uninformed people. So do yourself a favor and reread about the different types of hysts. Then come back and tell me how using a stapler will reduce costs for a hysterectomy, LOL. Then explain why those patients are going home NEXT day adding to the LOS instead of out-patient like the majority of da Vinci hysts.
 






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